经腹股沟切口路径聚丙烯补片疝修补术治疗急性沟疝患者的短中期随访研究  

Short and Medium⁃term Follow⁃up Study of Groin Incision Approach Polypropylene Patch Hernia Repair in Patients with Acute Inguinal Hernia

作　　者：何培勇 覃文 钱立友 HE Pei-yong;TAN Wen;QIAN Li-you(duanzhou district people's hospital general surgery zhaoqing Guangdong,526040)

机构地区：[1]广东省肇庆市端州区人民医院普外科,526040

出　　处：《岭南急诊医学杂志》2020年第6期603-605,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:探究经腹股沟切口路径聚丙烯补片疝修补术治疗急性沟疝患者的效果.方法:选取我院2017年1月至2018年12月急性沟疝患者92例,根据治疗方案不同分为试验组(n=46)、对照组(n=46),两组均经腹股沟切口路径实施疝修补术,对照组常规缝合修补,试验组予以聚丙烯补片修补,比较两组手术相关指标、术后1个月疼痛程度(VAS评分)、术后6个月并发症发生率、复发率.结果:试验组住院时间明显短于对照组(P<0.05);试验组术后1个月VAS评分显著低于对照组(P<0.05);试验组术后并发症发生率4.55%(2/44)明显低于对照组20.93%(9/43),复发率0.00%(0/44)显著低于对照组13.95%(6/43)(P<0.05).结论:经腹股沟切口路径聚丙烯补片疝修补术治疗急性沟疝患者,可促进术后恢复,减少术后并发症,降低复发率.Objective:To investigate the effect of polypropylene patch hernia repair via inguinal incision in the treatment of patients with acute groove hernia.Methods:A total of 92 patients with acute groove hernia from January 2017 to December 2018 in our hospital were selected and divided into the experimental group(n=46)and the control group(n=46)according to different treatment protocols.Both groups underwent hernia repair via the inguinal incision path,while the control group was routinely sutured,and the test group was repaired with a polypropylene patch.Surgery⁃related indicators,one⁃month postoperative pain(VAS score),complication rate,and recurrence rate were compared be⁃tween the two groups.Results:There was no significant difference in surgical time and drainage tube removal time be⁃tween the two groups(P>0.05).The hospital stay of the test group was shorter than that of the control group(P<0.05).The VAS score of the test group at one month after operation was lower than that of the control group(P<0.05).The incidence of postoperative complications in the experimental group was 4.55%(2/44)lower than that in the control group 20.93%(9/43),and the recurrence rate was 0.00%(0/44)lower than the control group 13.95%(6/43)(P<0.05).Conclusion:Polypro⁃pylene patch hernia repair via inguinal incision approach for patients with acute hernia can promote postoperative recov⁃ery,reduce postoperative complications,and reduce the recurrence rate.

关 键 词：急性沟疝 疝修补术 腹股沟切口路径 聚丙烯补片 

分 类 号：R656.2[医药卫生—外科学]